CMS Finalizes Medicare Payment Rate for Cardio Diagnostics' AI-Driven CHD Tests
CMS finalizes Medicare payment at $854 for Cardio Diagnostics' AI-driven Epi+Gen CHD and PrecisionCHD tests, enhancing access and reimbursement for early CHD detection.
The Challenges of Peer-to-Peer Insurance Reviews in U.S. Healthcare
Explore the complexities of peer-to-peer insurance reviews in U.S. healthcare, focusing on the challenges physicians face when appealing coverage denials for inpatient and rehabilitation care. Understand the impact on provider workflows, insurer relations, and patient access.
Medicare Home Health Reimbursement Cuts Reduced to $220M for Next Year
CMS cuts Medicare home health reimbursement by $220M in 2025, less than the proposed $1B reduction. Providers highlight sustainability concerns under current payment model.
Medicare Home Health Reimbursement Cut Looms Amid Shutdown Delay
The 2026 Medicare home health final rule release is delayed due to the government shutdown. Proposed 9% reimbursement cuts spark industry-wide concern and strategic responses from key providers and advocacy groups.
Aspirus and Blue Cross MN Contract Talks May Lead to 2026 Out-of-Network Status
Aspirus facilities in Minnesota may fall out-of-network with Blue Cross Blue Shield if contract talks fail, reflecting industry reimbursement and inflation challenges. Learn key impacts for 2026.
Northern Light Health Seeks Higher Reimbursement from Anthem Amid Contract Dispute
Northern Light Health may end its contract with Anthem if reimbursement rates do not increase to match inflationary costs, impacting healthcare access in Maine. Ongoing negotiations focus on sustainable payment models between provider and insurer.
Physician Exit Rates from Medicare Fee-For-Service Rise, Impacting Primary Care Access
Study reveals rising physician exit rates from Medicare fee-for-service, with primary care facing notable impact amid payment and administrative challenges.
OhioHealth-Anthem Contract Negotiations Impact Network Status and Patient Coverage
OhioHealth warns of potential out-of-network status with Anthem after contract expiration on July 31, 2025, highlighting ongoing negotiations and reimbursement disputes impacting patient coverage and provider payments.
Medicare Cuts Raise Concerns for Physician Practices
The 2025 Medicare Physician Fee Schedule cuts reimbursement rates, impacting healthcare providers' finances and patient access to care.